Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.29 / $755.29 / $3,073.00	Facility		$755.29	$755.29	$3,073.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.58 / $755.29 / $2,048.62	Professional		$608.58	$755.29	$2,048.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,542.94 / $1,611.18 / $2,013.97	Professional		$1,542.94	$1,611.18	$2,013.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $689.44 / $1,199.75 / $1,863.42	Facility		$689.44	$1,199.75	$1,863.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $873.38 / $1,455.64 / $5,256.40	Professional		$873.38	$1,455.64	$5,256.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,113.73 / $1,743.04 / $2,219.15	Facility		$1,113.73	$1,743.04	$2,219.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $952.00 / $1,542.94 / $1,921.59	Professional		$952.00	$1,542.94	$1,921.59
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $803.03 / $1,184.19 / $1,371.43	Professional		$803.03	$1,184.19	$1,371.43
United Facility/Professional Facility Modifier Low / Median / High Price $2,000.00 / $2,000.00 / $2,000.00	Facility		$2,000.00	$2,000.00	$2,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $873.38 / $1,417.38 / $1,985.87	Professional		$873.38	$1,417.38	$1,985.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,306.50 / $1,537.00 / $1,598.50	Professional		$1,306.50	$1,537.00	$1,598.50